Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.91 / $144.33 / $463.10	Facility		$102.91	$144.33	$463.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.05 / $102.91 / $118.52	Professional		$90.05	$102.91	$118.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.15 / $119.62 / $376.50	Facility		$99.15	$119.62	$376.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $65.00 / $104.08	Professional		$61.98	$65.00	$104.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $150.60 / $169.43	Facility		$125.50	$150.60	$169.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $144.33 / $177.90	Professional		$125.50	$144.33	$177.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.96 / $125.50 / $324.47	Facility		$90.96	$125.50	$324.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.73 / $144.13 / $331.20	Professional		$63.73	$144.13	$331.20
United Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $75.30 / $125.50	Professional		$52.71	$75.30	$125.50